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Minnesota rates for HCPCS 0108U

Gastroenterology (Barrett's esophagus), whole slide-digital imaging, including morphometric analysis, computer-assisted quantitative immunolabeling of 9 protein biomarkers (p16, AMACR, p53, CD68, COX-2, CD45RO, HIF1a, HER-2, K20) and morphology, formalin-fixed paraffin-embedded tissue, algorithm reported as risk of progression to high-grade dysplasia or cancer

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,759.28 / $1,759.28 / $1,759.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,356.00 / $4,950.00 / $4,950.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,929.02 / $36,254.35 / $43,436.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,745.13 / $7,224.08 / $10,057.73
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,243.32 / $34,202.21 / $34,202.21
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,688.25 / $5,688.25 / $8,353.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,261.92 / $9,157.50 / $15,592.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,281.76 / $2,513.25 / $6,626.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,281.76 / $2,513.25 / $6,534.00